Kindly complete your registration by providing the details below.

Personal & Professional:

Personal & Professional Information

Last Name:
Bola¤os
First Name:
Irene
title_add:
Dr.
Phone #:
88490994
Hospital / Institution / Company:
Caja Costarricense del Seguro Social
Classification:
Surgeon
Position:
Assistant
Address:

Affiliation

Street and House Number:
Boulevard de Rohrmoser
City:
San Jose
Zip Code:
4100
State:
San Jose
Country:
Costa Rica
Membership benefits:

Membership benefits

Site Information:

Site Information

program for the treatment:
No
program set up:
0
currently taken care:
0
approximate number:
0
normally referred:
Have no surgery option in my country yet
you have plans:
Yes, i want to start a program this year